Percutaneous Multiple Kirschner Wire Fixation in the Treatment of Hand Fractures

Hong,  Seong Jae; Seo,  Hyeung Gyo; Whang,  Jong Ick; Cho,  Sanghun

doi:2013.18.3.124

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Arch Hand Microsurg > Volume 18(3); 2013 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2013;18(3):124-131.
Published online September 30, 2013.
DOI: https://doi.org/10.12790/jkssh.2013.18.3.124

Percutaneous Multiple Kirschner Wire Fixation in the Treatment of Hand Fractures

Seong Jae Hong, Hyeung Gyo Seo, Jong Ick Whang, Sanghun Cho

¹Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Goyang, Korea.
²Department of Plastic and Reconstructive Surgery, Duson Hospital, Ansan, Korea. blueginget@google.com

Received: 5 May 2013 • Revised: 3 September 2013 • Accepted: 7 September 2013

Abstract

Purpose
We reported results of percutaneous multiple K-wire fixation technique without passing through the joint in patients with a hand fracture.

Methods
We evaluated a total of 116 cases in 94 patients who underwent percutaneous multiple K-wire fixation on dorsal cortex over a 10-year period between 2001 and 2010. The treatment outcomes were evaluated based on total active motion (TAM), as proposed by Widegrow.

Results
Our clinical series of patients achieved good functional outcomes. Of total patients, 89% (84/94) had excellent TAM, 2% (2/94) did good TAM and 9% (8/94) did poor TAM. Postoperatively, our clinical series of patients had such a good compliance as to achieve a TAM of >181degrees when performing the early active movement. There were no notable postoperative complications during the follow-up period.

Conclusion
Our results indicate that percutaneous multiple K-wire fixation technique without passing through the joint from normal bone density patients is effective in providing the rigid fixation. Thus, our patients could perform the early movement as promptly as possible and maintaining the full mobility of the rest of the hand.

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